Provider Demographics
NPI:1144511767
Name:COLEMAN, ASHLEY N
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:N
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:N
Other - Last Name:GATTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 IVY LN
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:PA
Mailing Address - Zip Code:18641-2300
Mailing Address - Country:US
Mailing Address - Phone:570-510-6166
Mailing Address - Fax:
Practice Address - Street 1:20 IVY LN
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:PA
Practice Address - Zip Code:18641-2300
Practice Address - Country:US
Practice Address - Phone:570-510-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-30
Last Update Date:2011-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009540235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist